| NPI | 1083340210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 309511) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 309511) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-07-29 |